Individual provider Active NPI

Nancy M Ball, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1104961531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000479 Issued in DE
Practice address
1500 B Shallcross Ave
Ste B1
Wilmington, DE 19806
Phone
(302) 540-9785
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000479 DE Primary

Addresses

Primary practice location

1500 B Shallcross Ave
Ste B1
Wilmington, DE 19806

Mailing address

1911 N Lincoln St
Wilmington, DE 19806-2313
Phone (302) 426-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000433 DE Practitioner - Clinical Social Worker 8527000272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilmington Psychiatric Services LLCGroup PAC ID 4486836574, 3 clinicians

Practice addresses (Care Compare)

5175 W Woodmill Dr
Suite 7
Wilmington, DE 19808-4067
Phone (302) 999-8426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Psychiatric Services LLC CurrentSince Jul 31, 2016 Accepting new patients
Suburban Psychiatric Services CurrentSince Oct 11, 2017 Accepting new patients
Christiana Counseling and Psychiatric Associates Inc. Past Accepting new patients
Thompson Counseling & Consulting Inc Clinical PastSince Oct 11, 2017 Accepting new patients

Locations

71 Omega Dr
#D
Newark, DE 19713
Phone (302) 540-5603

5175 W Woodmill Dr
Ste 7
Wilmington, DE 19808
Phone (302) 998-1424

5177 W Woodmill Dr
Ste 6
Wilmington, DE 19808
Phone (302) 999-8426

9200 Corporate Blvd
Ste 120
Rockville, MD 20850

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104961531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N LINCOLN ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062313",
            "telephone_number": "302-426-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 B SHALLCROSS AVE",
            "address_2": "STE B1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-540-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "NANCY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.